Director, Audits (Healthcare)

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Audits (Healthcare) based in the United States.

We are seeking an experienced healthcare audit leader to oversee complex audit and performance measurement validation initiatives within the Medicaid services sector. In this senior leadership role, you will guide multidisciplinary teams responsible for Performance Measure Validation (PMV) and Healthcare Effectiveness Data and Information Set (HEDIS ®) audit activities.

You will drive operational excellence, ensuring projects meet rigorous quality standards, contractual obligations, budgetary targets, and delivery timelines. Working closely with state Medicaid agencies, healthcare organizations, and internal leadership, you will strengthen the reliability of healthcare data and support informed decision-making.

You will also contribute to business development, contract strategy, staff development, and continuous quality improvement. This fully remote opportunity offers the chance to influence healthcare quality nationwide while developing teams and advancing impactful, data-driven healthcare initiatives.